Giving a voice to traumatized youth—Experiences with Trauma-Focused Cognitive Behavioral Therapy

Dittmann, Ingeborg; Jensen, Tine K.

doi:10.1016/j.chiabu.2013.11.008

Cited by 40 publications

(91 citation statements)

References 24 publications

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“…Parents shared that they gained more knowledge about the trauma and that the completion of the trauma narrative provided a form of closure for them and their children. Approximately two-thirds of the youth in the Dittmann and Jensen (2014) study reported that the trauma narrative was very difficult to talk about, and while the younger children in this study were not asked about their experiences of the trauma narrative, it is noteworthy that none of the parents reported disliking and finding least helpful the trauma narrative. This difference may of course be due to the fact that the children were the ones who were having to tell their story and were experiencing PTSS, rather than the parents.…”

Section: Discussionmentioning

confidence: 81%

“…Most youth stated that it was alright for the therapist to share with the parent what the child was talking about in the sessions. Parents’ perceptions of involvement in their child’s treatment were not examined (Dittmann and Jensen 2014). Taken together, these studies raise questions about parents’ perception of leading their child’s trauma treatment in terms of their perceptions about the limited therapist support and working directly with the child to process the traumatic event.…”

Section: Introductionmentioning

confidence: 99%

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Parents’ Perception of Stepped Care and Standard Care Trauma-Focused Cognitive Behavioral Therapy for Young Children

et al. 2015

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Delivery systems other than in-office therapist-led treatments are needed to address treatment barriers such as accessibility, efficiency, costs, and parents wanting an active role in helping their child. To address these barriers, stepped care trauma focused-cognitive behavioral therapy (SC-TF-CBT) was developed as a parent-led, therapist-assisted therapy that occurs primarily at-home so that fewer in-office sessions are required. The current study examines caregivers’ perceptions of parent-led (SC-TF-CBT) and therapist-led (TF-CBT) treatment. Participants consisted of 52 parents/care-givers (25–68 years) of young trauma-exposed children (3–7 years) who were randomly assigned to SC-TF-CBT (n = 34) or to TF-CBT (n = 18). Data were collected at mid-and post-treatment via interviews inquiring about what participants liked, disliked, found most helpful, and found least helpful about the treatment. Results indicated that parents/caregivers favored relaxation skills, affect modulation and expression skills, the trauma narrative, and parenting skills across both conditions. The majority of parents/caregivers in SC-TF-CBT favored the at-home parent–child meetings and the workbook that guides the parent-led treatment, and there were suggestions for improving the workbook. Reported disliked and least helpful aspects of treatments were minimal across conditions, but themes that emerged that will need further exploration included the content and structure, and implementation difficulties for both conditions. Collectively, these results highlight the positive impact that a parent-led, therapist-assisted treatment could have in terms of providing caregivers with more tools to help their child after trauma and reduce barriers to treatment.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Parents’ Perception of Stepped Care and Standard Care Trauma-Focused Cognitive Behavioral Therapy for Young Children

et al. 2015

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“…Therapist 2 reported that her client ‘reprocessed’ the memories while undertaking the CF. Studies investigating the impact of revisiting trauma in primary PTSD treatment have also found distress, worsening of PTSD symptoms, and emotional exhaustion during and immediately after trauma therapy sessions [49,50,51,52]. These studies asked participants to reflect on the whole of their trauma therapy, rather than the formulation process.…”

Section: Discussionmentioning

confidence: 99%

Case Formulation in Young People with Post-Traumatic Stress Disorder and First-Episode Psychosis

Halpin

Kugathasan

Hulbert

et al. 2016

JCM

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Background: Evidence based treatment interventions for young people with first-episode psychosis (FEP) and trauma histories is lacking. Although case formulation (CF) has been widely regarded in cognitive behavioural therapy manuals as beneficial, there is limited empirical research examining how clients and therapists experience the process. Aim: This study aimed to explore young people’s reactions to CF in treatment for PTSD (post-traumatic stress disorder) and FEP. Method: Semi-structured interviews were conducted with three participants (aged 19–20) with FEP and PTSD and their therapists, after they had completed a trauma-focused treatment program with a CF component. Transcripts were analysed using an interpretative phenomenological approach and themes were derived. Results: Two themes related to participants’ experiences were identified from the analysis: (1) Developing Insight; (2) A challenging experience; and two themes from the therapists: (1) Doing the case formulation; (2) Value of case formulation. Participants and therapists reported benefits in making connections between current symptoms and past trauma. Participants viewed the process as challenging. Conclusion: Results suggest a potential discrepancy between the experience of the case formulation process for clients and therapists.

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“…O tratamento é caracterizado como uma intervenção de curto prazo, onde serão abordados aspectos como a psicoeducação sobre reações do trauma, treinamento para manejo do estresse, expressões afetivas, modulações de habilidades e reconstrução do cenário do trauma e das avaliações mal adaptativas realizadas pelo paciente (Dittmann & Jensen, 2014). Os pais participarão de sessões juntamente com a criança/adolescente e de sessões individuais (Cohen, Mannarino, & Deblinger, 2006).…”

Section: Psicoterapia Cognitivo-comportamental E Suas Contribuições Punclassified

“…A colaboração de todos faz-se fundamental para resultados satisfatórios serem alcançados. Em casos envolvendo situações traumáticas, a não colaboração poderá se acentuar, na medida em que reviver o trauma através da fala e de exposições poderá fazer com que crianças/ adolescentes evitem comparecer ao tratamento devido aos sentimentos associados a essa situação (Dittmann & Jensen, 2014).…”

Section: Psicoterapia Cognitivo-comportamental E Suas Contribuições Punclassified

A Psicoterapia Cognitivo-Comportamental para Crianças e Adolescentes Vítimas de Violência Psicológica e Alienação Parental

Fermann¹,

Pelisoli²

2016

Revista de Psicologia da IMED

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ResumoA violência é um problema social e de saúde pública vitimizando milhares de crianças e adolescentes no Brasil e no mundo. Crianças/adolescentes se tornam frequentemente vítimas de violência perpetrada comumente por familiares e pessoas próximas. A violência psicológica (VP) pode se manifestar sob forma de rejeição, humilhação, isolamento, depreciação, desrespeito, rotulação, discriminação, corrupção, terrorismo, punição ou cobranças exageradas advindas do responsável/cuidador em relação à criança/ adolescente. Esses fatores podem gerar sintomas e transtornos psicológicos, prejudicando a vida desses indivíduos. A psicoterapia cognitivo-comportamental é uma alternativa para prevenção e tratamento em casos de violência contra crianças/adolescentes. Este artigo buscou caracterizar e discutir a VP sofrida por crianças e adolescentes e as consequências desta para o desenvolvimento. Além disso, o artigo objetivou verificar como a psicoterapia cognitivo-comportamental está sendo utilizada para o tratamento desses casos. Os resultados apontaram que a psicoterapia cognitivo-comportamental é eficaz para o tratamento de vítimas de VP. Além disso, é importante que exista uma boa relação terapêutica e que o paciente possa cooperar no tratamento e na realização de tarefas propostas pelo psicoterapeuta. Sugere-se também que estudos futuros adaptem o modelo de grupoterapia cognitivo-comportamental para crianças/adolescentes vítimas de violência sexual, para crianças e adolescentes vítimas de VP.

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Giving a voice to traumatized youth—Experiences with Trauma-Focused Cognitive Behavioral Therapy

Cited by 40 publications

References 24 publications

Parents’ Perception of Stepped Care and Standard Care Trauma-Focused Cognitive Behavioral Therapy for Young Children

Parents’ Perception of Stepped Care and Standard Care Trauma-Focused Cognitive Behavioral Therapy for Young Children

Case Formulation in Young People with Post-Traumatic Stress Disorder and First-Episode Psychosis

A Psicoterapia Cognitivo-Comportamental para Crianças e Adolescentes Vítimas de Violência Psicológica e Alienação Parental

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